EMT Lesson Plans

3.13

Situa on: 82 year old, dispatched as Chest Pains

Chest Pains II

Scene Size-up: Safety:

Scene is safe

Chest Pain

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – chest pains Resources: ALS

JVD

Primary Assessment: General Impression: Person si ng in chair – appears in distress Mental Status: Alert Airway: Patent Breathing: 22 per minute, labored Circula on:

Palpable pulse at wrist, pale, sweaty, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Edema

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 88

86

92

Pelvis:

Unremarkable

BP:

104/70

102/78

110/72

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

22

22

22

SPO2: 93

93

94

OPQRST: O:

SAMPLE: S:

I’ve had this before Nothing changes it Crushing, Squeezing

My chest hurts

P: Q: R: S: T:

A: M:

None

Lasix, Potassium, Coreg CHF, hypertension Toast 2 hours ago Listening to the radio

Le Shoulder and le jaw

P: L: E:

9/10

25 minutes

OTHER: